Individual provider Active NPI

Amanda Jean Terraciano, DC

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1518713247
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR011172 Issued in GA
Practice address
3330 Piedmont Rd NE Ste 4
Atlanta, GA 30305-1726
Phone
(404) 471-3813
NPI assigned
Apr 24, 2024
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR011172 GA Primary

Addresses

Primary practice location

3330 Piedmont Rd NE Ste 4
Atlanta, GA 30305-1726

Mailing address

1510 Blackwell Rd
Marietta, GA 30066-2906
Phone (678) 548-4403

Other practice location 1

6623 Roswell Rd
Sandy Springs, GA 30328-3178
Phone (404) 998-4627

Other practice location 2

5530 Windward Pkwy Ste 1055
Alpharetta, GA 30004-3818
Phone (770) 749-7620

Other practice location 3

4718 Ashford Dunwoody Rd Ste 430
Dunwoody, GA 30338-5576
Phone (678) 719-4219

Other practice location 4

305 Brookhaven Ave NE Bldg 1100
Brookhaven, GA 30319-3253
Phone (404) 480-8412

Other practice location 5

885 Woodstock Rd
Roswell, GA 30075-2277
Phone (770) 651-0732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR011172GAMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1518713247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 BLACKWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662906",
            "telephone_number": "678-548-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PIEDMONT RD NE STE 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051726",
            "telephone_number": "404-471-3813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6623 Roswell Rd",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303283178",
            "country_code": "US",
            "telephone_number": "404-998-4627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5530 Windward Pkwy Ste 1055",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300043818",
            "country_code": "US",
            "telephone_number": "770-749-7620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4718 Ashford Dunwoody Rd Ste 430",
            "address_purpose": "LOCATION",
            "city": "Dunwoody",
            "state": "GA",
            "postal_code": "303385576",
            "country_code": "US",
            "telephone_number": "678-719-4219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Brookhaven Ave NE Bldg 1100",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303193253",
            "country_code": "US",
            "telephone_number": "404-480-8412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "885 Woodstock Rd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300752277",
            "country_code": "US",
            "telephone_number": "770-651-0732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRACIANO",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.